VITAL PERFORMANCE LLC NPI 1619496957

NPI Information

  • NPI: 1619496957
  • Provider Name: VITAL PERFORMANCE LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: VITAL PERFORMANCE CHIROPRACTIC
  • Address: 7827 HIGHWAY N STE 102
    DARDENNE PRAIRIE, MO
    ZIP 63368
  • Phone: (636) 486-6933

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NPI Details

VITAL PERFORMANCE LLC is a chiropractor in Dardenne Prairie, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. VITAL PERFORMANCE LLC NPI is 1619496957. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vital Performance Chiropractic.

The provider's business location address is:

7827 HIGHWAY N STE 102
DARDENNE PRAIRIE, MO
ZIP 63368-199
Phone: (636) 486-6933

The provider's authorized official is Dustin Charles Jerome Bosson .
The authorized official title is Doctor/owner and has the following contact phone number (636) 486-6933.

The enumeration date for this NPI number is 9/19/2017 and was last updated on 9/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2017015434MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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